Providers
EHAB M KODSI, MD PhD
NPI 1063594752, individual, Queensbury, NY, Physical Medicine & Rehabilitation
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since May 4, 2022.
- Medicaid still paid claims in 27 later months, $393,148 in total.
score 96 of 100, rank 89, $393K at stake
Public list actions
Medicare revocation effective May 4, 2022, barred from re-enrolling until May 4, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Physical Medicine And Rehabilitation, NY
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | May 4, 2022 | May 4, 2032 | 27 | Jun 2022 | Aug 2024 | $393K | $262K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | EHAB M KODSI, MD PhD |
| Type | Individual |
| Status | Active |
| NPI issued | October 20, 2006, last updated July 8, 2007 |
| Practice location | 5 MAIN ST, SUITE 6, Queensbury, NY 12804, 518-798-2225 |
| Specialties | Physical Medicine & Rehabilitation (208100000X, primary, license 239223 NY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | $656K | 66% | $1K | $836 (top 5% from $1K) | 77th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $165K | 17% | $54 | $44 (top 5% from $110) | 64th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $46K | 5% | $95 | $60 (top 5% from $133) | 82nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $41K | 4% | $134 | $95 (top 5% from $171) | 81st percentile | |
| 20553 | Injection of trigger points, 3 or more muscles | $37K | 4% | $44 | $37 (top 5% from $144) | 62nd percentile | |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $36K | 4% | $110 | $91 (top 5% from $274) | 64th percentile | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $7K | 1% | $5.30 | $3.46 (top 5% from $11) | 72nd percentile | |
| 95870 | Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study | $1K | 0% | $33 | $17 (top 5% from $24) | too few months to rank |
In this area
2 providers in Warren County, NY carry an indicator in the public record, with $464K at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TOTAL CARE & REHABILITATION MEDICINE PC Queensbury, NY, ranked 84 | $464K |
|
| 3 | 112 SKI BOWL ROAD OPERATING COMPANY, LLC North Creek, NY, ranked 2421 | $0 |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.